Step-by-step Guided Photo-Chemotherapy Nanoplatforms for Efficiently Suppressing Cervical Carcinoma Metastasis by Hijacking Intracellular Metabolism

Intracellular energy metabolism, particularly in the mitochondria, can effectively modulate the epithelial to mesenchymal transition (EMT) to promote cervical carcinoma metastasis, which contributes to a much worse prognosis in the clinic. Notably, mitochondria are more vulnerable to hyperthermia and oxidative damage, thereby mitochondria -targeting photothermal therapy (PTT) and photodynamic therapy (PDT) appear to be promising strategies against EMT. Herein, we developed step-by-step guided photo -chemotherapy nanoplatforms (CS@ATO/CHC/T780 NPs) to reprogram intracellular metabolism for efficiently suppressing cervical carcinoma metastasis. Mechanistically, chondroitin sulfate (CS) and triphenylphosphine (TPP)-tailored phototherapeutic agent IR780 (T780) achieved step-by-step delivery to cancer cells and mitochondria, respectively. Subsequently, the atovaquone (ATO) disturbed mitochondrial electron transport chain complex III to efficiently induce mitochondrial dysfunction, which reversed the thermo-resistance associated with PTT by the down -regulation of ATPdependent heat shock protein 70 (HSP 70) expression. Simultaneously, alpha-cyano-4-hydroxycinnamate (CHC) efficiently reduced the internalization of lactate (LA) to conserve oxygen consumption for enhancing PDT efficacy. Furthermore, the decrease in intracellular LA also inhibited the process of EMT. As expected, the enhanced phototherapy significantly induced mitochondrial impairment to suppress the proliferation and metastasis of cervical cancer in vitro and in vivo , offering a promising strategy for the treatment of cervical cancer by hijacking intracellular metabolism.